| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
33,317 |
25,123 |
$958K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
29,656 |
23,951 |
$892K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,242 |
7,799 |
$458K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,673 |
2,710 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,556 |
3,401 |
$99K |
| 92202 |
|
10,110 |
8,040 |
$47K |
| 83861 |
|
5,945 |
2,626 |
$42K |
| 92133 |
|
3,239 |
2,577 |
$39K |
| 92060 |
|
1,618 |
1,416 |
$38K |
| 92083 |
|
1,637 |
1,298 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,472 |
1,801 |
$33K |
| 92226 |
|
5,886 |
2,547 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,088 |
824 |
$16K |
| 92134 |
|
1,308 |
993 |
$13K |
| 92225 |
|
1,438 |
659 |
$11K |
| V2020 |
Frames, purchases |
822 |
452 |
$9K |
| 92201 |
|
498 |
394 |
$5K |
| 92145 |
|
825 |
541 |
$4K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
514 |
161 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
446 |
248 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
38 |
24 |
$3K |
| 92250 |
|
68 |
60 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
343 |
92 |
$2K |
| 92136 |
|
73 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
15 |
$836.64 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$505.57 |
| 92020 |
|
71 |
60 |
$479.78 |
| 83516 |
|
58 |
26 |
$209.12 |
| 76514 |
|
22 |
12 |
$65.45 |